Sample Record
Owner Lab
- CT HQ - QASI Los Angeles Field Office
DIME Sample ID 2018-07-26-3
Project Information
Project Identifiers | Project ID: 212562 DEA: 024G5504 EFIS: 0214000036 |
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DIST-CO-RTE-PM | 02-SIS-5-2.7/R11.4 |
Award Date | 03/12/2018 |
Closeout Date | 10/05/2020 |
Work Description | RECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS |
Location Description | SISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS |
QA Service Level | 1 (Verified on 04/04/2018) |
Sample Information
Sample Taken Date | 07/26/2018 | Sample Unique Key | 3 |
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Will the laboratory/organization for which you are a member perform testing on this material sample? | No | Date that the sample was received by the laboratory/organization performing the testing | 07/26/2018 |
Sample type | Quality Assurance | A brief description of the sample | Loose Tie Bars |
The quantity of what the sample constitutes | 1700 | From where was the sample collected | Fabricator |
First name of sampler or witnessed by | Sherri | Last name of sampler or witnessed by | Brannon |
Title of sampler | QA Inspector | Telephone number of sampler | 7077918219 |
Laboratory sample identification | Unknown | Linked DIME Sample ID | Unknown |
The fabricator/manufacturer/facility name | JC Supply Manufacturing | Transportation Laboratory (TL) Number | Unknown |
Inspector Lot Number from the Transportation Laboratory (TL) Form | L48-064-18 | Structure unique identifier | Not set |
Structure name | Not set |
Material Information
Material Type | SMTL TM7 - Epoxy Coated Rebar | Rebar Heat Number(s) | PL16206939 |
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Rebar Epoxy Batch Number(s) | 8496026962 | Rebar Coating Specification | ASTM A934 |
Rebar Size (#) | 6 | Rebar Coating Color | Purple |
Rebar Manufacturer | Nucor | Rebar Coater | JC Supply And Manufacturing |
Rebar Powder Manufacturer | Valspar | Release Number | Unknown |
Quality Assurance Code | Unknown |
Submitted Tests
Sample File Attachments
File Name | Extension | Date Uploaded | Actions |
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No results found. |
Test File Attachments
DIME Test ID: 2018-07-26-3-1 ASTM A934-13 (Verified)
DIME Test ID: 2018-07-26-3-2 ASTM A934-13 (Verified)